Medical Case Manager Specialist
7 days ago
We are seeking an experienced medical case manager to oversee medical treatment for individuals with workplace injuries. This role involves collaborating with various stakeholders, including insurance carriers, medical providers, attorneys, employers, and employees.
Key Responsibilities- Manage comprehensive medical case management, coordinating with patients, physicians, healthcare providers, employers, and referral sources.
- Assess treatment plans for appropriateness, medical necessity, and cost-effectiveness.
- Coordinate Independent Medical Evaluations and/or conduct job site evaluations to support case management.
- Monitor patient progress, engage in discussions with physicians, and provide medical recommendations to all involved parties.
- Develop cost-effective strategies for medical care management and efficiently prioritize workload.
- Prepare detailed reports within specified timeframes, attend injured worker appointments, and fulfill additional duties as assigned.
- Possession of Malpractice Liability Insurance (or ability to obtain).
- Minimum 3 years' experience in Workers' Compensation Case Management.
- Proficient in PC and technology skills.
- Registered Nurse (RN) qualification with flexibility for contract work (1099).
- Preferred bilingual proficiency; access to personal computer, phone, and reliable transportation for in-person appointments.
The IMA Group is an Affirmative Action/Equal Opportunity Employer, dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work, and disability. Our Government Services Division supports local, state, and federal agencies, while our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities, and Employers. Our Clinical Research Division performs all types of Phase II-IV clinical trials through a flexible nationwide network of site locations and virtual capabilities.
Estimated Salary Range:$85,000 - $110,000 per year, depending on experience and qualifications.
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